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Iowa rates for HCPCS 63746

Removal of entire lumbosubarachnoid shunt system without replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.41 / $838.38 / $1,026.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.59 / $1,340.67 / $1,658.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.66 / $874.53 / $1,789.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.15 / $1,387.40 / $5,321.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.42 / $1,126.31 / $4,416.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,460.85 / $1,849.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.00 / $1,297.50 / $1,668.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.09 / $874.80 / $1,640.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.69 / $1,214.80 / $1,429.20